Organization Active NPI

Wavelength Speech and Language LLC

  • Speech-Language Pathologist
  • Thurmont, MD
National Provider Identifier
1356119697
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
WAVELENGTH SPEECH AND LANGUAGE LLC
Practice address
9 Windward CT
Thurmont, MD 21788-1666
Phone
(727) 415-0074
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristen Davis
Title
Founder and Director
Phone
(727) 415-0074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

9 Windward CT
Thurmont, MD 21788-1666

Mailing address

9 Windward CT
Thurmont, MD 21788-1666
Phone (727) 415-0074

Other names 1

  • Wavelength Speech Therapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1356119697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WINDWARD CT",
            "city": "THURMONT",
            "state": "MD",
            "postal_code": "217881666",
            "telephone_number": "727-415-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WINDWARD CT",
            "city": "THURMONT",
            "state": "MD",
            "postal_code": "217881666",
            "telephone_number": "727-415-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVELENGTH SPEECH AND LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "FOUNDER AND DIRECTOR",
        "authorized_official_telephone_number": "727-415-0074"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wavelength Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thurmont, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.